Portable Drug Mixing and Delivery Device and Associated Methods

ABSTRACT

A portable auto-injector configured to store a dry medication separately from a liquid component, wherein removal of a cap opens a rotary valve allowing for the initiation of a mixing step prior to injection. An extendable needle guard is provided over the delivery assembly which prevents premature injection as well as inadvertent sticks or other cross contamination of a needle. The needle guard can also form part of a secondary trigger mechanism which injects the reconstituted drug after the mixing stage is complete.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of U.S. Patent Application No.62/038,386 filed on Aug. 18, 2014; U.S. Patent Application No.62/126,011 filed on Feb. 27, 2015; U.S. Patent Application No.62/204,940 filed on Aug. 13, 2015; U.S. Patent Application No.62/061,664 filed on Oct. 8, 2014; U.S. Patent Application No. 62/120,792filed on Feb. 25, 2015 which are herein incorporated by reference intheir entirety.

FIELD OF THE INVENTION

The present invention relates generally to auto-injectors and prefilledsyringes and more particularly to auto-injectors that store in a compactstate and allow for formation or reconstitution of a therapeutic agentfor injection.

BACKGROUND OF THE INVENTION

Individuals who suffer from certain medical conditions are oftenrequired to keep an auto-injector or prefilled syringe nearby in orderto address a medical need. A few examples of this are insulin pens forpeople with diabetes, epinephrine for those with food and insect stingsallergies, and antidotes for soldiers at risk of exposure to chemicaland/or biological toxins in the field. For example, an allergic reactionmay occur in a location which is physically distant from the nearesthospital or medical facility. For example, bee stings, are more likelyto occur outside than indoors. Food containing peanuts are more likelyto be supplied to the individual away from a controlled home environmentlike at a baseball park. Having a portable epinephrine auto-injectornearby enables emergency intervention after an exposure to an allergen.

Size is an issue when it comes to auto-injectors. Many owners of thedevices are hesitant to carry their injector with them if it representsa burden, by providing injectors in more compact sizes it will make itmore likely that they will.

Shelf-life is also a large issue with respect to auto-injectors, whichcan be expensive and used fairly infrequently. For example a user whohas intense allergic reactions to shellfish can go years betweenexposures and subsequent injections. In such a case it can be easy toforget to replace the auto-injector after expiration, whereupon in anemergency, the drugs contained therein have expired and are eitherineffective or have a greatly reduced effectiveness due to decompositionof the drugs contained therein. As will be appreciated by those havingskill in the art, the shelf life can be increased by storing the desiredmedication in an unmixed and dry state and dissolved just prior toinjection. This ability to store the wet and dry components separatelywithin the device can increase the shelf life and thus increase thelikelihood that the user will have an injector with effective dosageswhen an emergency arises.

In such devices it is required that the mixing and reconstitutionprocesses are consistent and complete prior to injection.

SUMMARY OF THE INVENTION

It has been recognized that if a drug can be kept out of the liquidphase and stored as a dry medication, the shelf-life can besubstantially increased and temperature susceptibility can be decreasedsubstantially, thus allowing the efficacy and potency of the drug toendure longer and through harsher environments.

It has been recognized that a smaller drug delivery device than aconventional epinephrine auto-injector, which could be attached to a keychain and/or easily fit in a person's pocket, would make the deviceeasier to carry and more likely that the user will have it on theirperson when needed. Various structures are contemplated herein whichaddress many of the problems discussed above through the use of mixingstructures, and actuation devices which ensure proper storage integrity,and full mixing prior to injection.

Contemplated herein is a medication mixing and delivery device whichincludes a housing. The housing can then contain a first chamber thefirst chamber, which can be defined by an annular side wall and abottom, the first chamber also having an outlet. The housing can alsocontain a second chamber, the second chamber having an inlet. A rotaryvalve can also be located within the housing, the rotary valve beingselectively opened or closed by aligning or misaligning the outlet ofthe first chamber to cause or prevent fluid communication between theoutlet of the first chamber and the inlet of the second chamber.

A pre-loaded energy source can be provided within the housing and alsobe configured to respond to an actuation device, the actuation devicealso being in mechanical communication with the rotary valve so as tomove the rotatory valve between a closed and open state. The pre-loadedenergy source can further be coupled to a displacement mechanism, suchas a plunger, which is configured to reduce the effective volume of thefirst chamber. The actuation device can be configured to be activated bymeans of an axial torsional force, wherein the axial torsional forcecauses the rotary valve to be placed into the open state and wherein theaxial torsional force causes a first portion of energy stored within thepre-stored energy source to be released and cause the displacementmechanism to force a liquid stored in the first chamber to pass throughthe outlet and inlet to be received by the second chamber, wherein a drymedicament is stored within the housing and outside the first chamber,such as in the fluidic channel between the first and second chambers, oralternatively, within the second chamber itself

The medication mixing and delivery device can also include a secondactuation device, i.e. a second plunger, which is configured to releasea second portion of energy from the pre-loaded energy source into asecond displacement mechanism configured to reduce the effective volumeof the second chamber, which, upon release forces the liquid, which isnow located in the second liquid chamber, to be displaced out of thesecond chamber through the delivery assembly. A delivery assembly canthen be connected to, and provided in fluid communication with, thesecond chamber can then be configured to provide appropriate delivery ofthe mixed drug and liquid component to a delivery site, for example,injected, nebulized, etc.

In particular, the delivery mechanism can include a needle assemblywhich is partially disposed within a septum, wherein the septum isdisposed between the needle assembly and the second chamber. In such acase the second actuation device can be configured to cause the needleassembly to pierce the septum and allow the needle assembly to be influid communication with the second chamber. Alternatively, the deliverymechanism can include a blocking mechanism disposed between the secondchamber and the delivery mechanism, and wherein the blocking mechanismprevents fluid communication prior to activating the second actuationdevice.

In some embodiments the first actuation device is formed in part by thehousing and a rotatable cap, wherein the rotatable cap is removablyattached to the housing.

In yet other embodiments the first chamber can be rotatable with respectto the housing.

In yet additional embodiments the second chamber can be configured suchthat it becomes rotationally fixed with the first chamber upon releasingthe first portion of stored energy. Or alternatively the second chambercan be configured such that it becomes rotationally fixed with the firstchamber upon releasing the first portion of stored energy and whereinthe first and second chamber rotate together upon activating the secondactuation device.

In yet alternative embodiments the second chamber can be configured suchthat the second chamber is independently expandable and contractiblewith respect to the first chamber.

In certain alternative embodiments the pre-loaded energy source can beprovided as a compressed spring or compressed gas.

In certain alternative embodiments the second chamber can also beprovided with a removable ferrule disposed therein about the inlet.

In certain alternative embodiments a fluidic channel can be providedwhich is disposed between the outlet of the first chamber and the inletof the second chamber, where the fluidic channel is comprised of aplurality of stacked disks, and wherein each disk forms part of thefluidic channel.

In yet additional embodiments the device can include a needle shieldassembly, the needle shield assembly further comprising a needle shieldand a secondary spring, the secondary spring biasing the needle shieldin an extended position. In some of these embodiments the needle shieldcan be configured such that it forms a part of a second actuationassembly, the second actuation device being configured to release asecond portion of energy from the pre-loaded energy source which uponrelease forces the liquid, which is now located in the second liquidchamber, to be displaced out of the second chamber through the deliveryassembly, and whereupon depressing the needle shield toward the housingtriggers the release of the second portion of energy stored within thepre-stored energy source, which release causes both an extension of thedelivery assembly and the displacement of the liquid from the secondchamber through the delivery assembly. In some of these embodiments theneedle shield assembly can further include a locking mechanism, which istriggered after a first needle shield depression, and wherein thelocking mechanism configured to lock in an extended position after beingremoved from an injection site.

In yet alternative embodiments contemplated herein, the medicationdelivery device can include a housing, a chamber containing a liquid,disposed within the housing, and a delivery assembly configured to be influid communication with the chamber. This alternative embodiment canfurther include a needle shield assembly which can be attached to thehousing and disposed at least partially around the delivery assembly,the needle shield assembly further including a needle shield andsecondary spring, the secondary spring biasing the needle shield in anextended position. The needle shield can form part of an actuationassembly, the actuation assembly being configured to release a portionof energy from a pre-loaded energy source, which upon release, forcesthe liquid to be displaced out of the chamber through the deliveryassembly, and whereupon depressing the needle shield toward the housingtriggers the release of the portion of energy stored within thepre-stored energy source, which release causes both an extension of thedelivery assembly and the displacement of the liquid from the chamberthrough the delivery assembly. The needle shield assembly can furtherinclude a locking mechanism, which is triggered after the needle shielddepression, and which is configured to lock in the extended position.

In some embodiments the mixing device can include one or more cam rampsprovided in a sidewall of the needle shield, wherein the cam ramps arein mechanical communication with the actuation assembly.

In some of these embodiments an intermediate support can be providedwhich is in mechanical communication with the actuation assembly, andwherein the intermediate support engages with the cam ramp. In some ofthese embodiments the intermediate support can be further provided witha protrusion extending from a sidewall which engages the cam ramp.

Also contemplated herein is a method of mixing and delivering amedication, the method including various steps, such steps including:coupling a pre-stored energy source to a first actuation mechanism,wherein actuation releases a first portion of stored energy from thepre-stored energy source to activate a first displacement mechanismwhich forces a fluid stored in a first chamber to be displaced into asecond chamber; coupling a rotary valve to the first actuationmechanism, whereupon actuation causes the rotary valve to change from aclosed state to an open state by rotating an outlet of the first chambersuch that it becomes aligned and in fluid communication with an inlet ofthe second chamber; applying an axial torsional force between a housingand a cap, which said housing and cap form part of the first actuationmechanism, and wherein said force causes the actuation that releases afirst portion of stored energy; activating a second actuation mechanism,whereupon actuation releases a second portion of stored energy from thepre-stored energy source so as to activate a second displacementmechanism which forces the fluid from the second chamber through adelivery mechanism.

In some of the method embodiments, the method can further include:placing a dry medicament within the second chamber, wherein activatingthe first actuation mechanism causes a fluid to mix with the drymedicament; extending the delivery mechanism in response to activatingthe second actuation mechanism. In some of these embodiments theactivation of the second actuation mechanism can be effectuated bydepressing a needle guard. Additionally, after delivery of the fluidthrough the delivery mechanism, the needle guard extends and locks intoan extended state which covers a needle of the delivery assembly.

These aspects of the invention are not meant to be exclusive and otherfeatures, aspects, and advantages of the present invention will bereadily apparent to those of ordinary skill in the art when read inconjunction with the following description, appended claims, andaccompanying drawings. Further, it will be appreciated that any of thevarious features, structures, steps, or other aspects discussed hereinare for purposes of illustration only, any of which can be applied inany combination with any such features as discussed in alternativeembodiments, as appropriate.

BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing and other objects, features, and advantages of theinvention will be apparent from the following description of particularembodiments of the invention, as illustrated in the accompanyingdrawings in which like reference characters refer to the same partsthroughout the different views. The drawings are not necessarily toscale, emphasis instead being placed upon illustrating the principles ofthe invention, wherein:

FIGS. 1A-C illustrate perspective exterior views of a medication mixingand delivery device through various actuation steps;

FIGS. 2A-B illustrate perspective exploded views of the medicationmixing and delivery device and a mixing subassembly in accordance withthe embodiment of FIGS. 1A-C;

FIGS. 3A-D illustrate side cross sectional views of a medication mixingand delivery device through various actuation steps in accordance withthe embodiment of FIGS. 1A-C;

FIGS. 4A-D illustrate side cross sectional views of the mixingsubassembly through various actuation steps for use in conjunctionwithin the embodiment of FIGS. 1A-C;

FIGS. 5A-E illustrate various exterior perspective views of the mixingsubassembly through various actuation steps moving from a stowed stateto a mixed state as would be effectuated using the embodiment of FIGS.1A-C;

FIGS. 6A-E illustrate various exterior perspective views and crosssectional views of the enlarged area of the mixing subassembly asindicated by area A in FIG. 5E;

FIGS. 7A-D illustrate various perspective and cross sectional views of aframe being used within the medication mixing and delivery device ofFIGS. 1A-C;

FIGS. 8A-E illustrate various exterior perspective views of the mixingsubassembly and a secondary actuation mechanism through variousactuation steps moving from the mixed state to an injected state aswould be effectuated using the embodiment of FIGS. 1A-C;

FIGS. 9A-B illustrate various exterior perspective views of a needleguard and associated subassembly through various actuation steps toshield an exposed needle after injection using the embodiment of FIGS.1A-C;

FIGS. 10A-D illustrate perspective exterior views of an alternativeembodiment of a medication mixing and delivery device through variousactuation steps;

FIGS. 11A-C illustrate various perspective and cross sectional views ofa cap for use in the medication mixing and delivery device of FIGS.10A-D;

FIGS. 12A-E illustrate side exterior exploded views of the medicationmixing and delivery device, a housing assembly, a mixing assembly, adelivery assembly and a needle guard assembly, respectively;

FIGS. 13A-E illustrate various exterior perspective, side, and crosssectional views of the medication mixing and delivery device asillustrated in FIGS. 10A-D in a stowed state;

FIGS. 14A-C illustrate various exterior perspective, side, and crosssectional views of the medication mixing and delivery device as embodiedin FIGS. 10A-D illustrating a first actuation step so as to initiatemixing;

FIGS. 15A-C illustrate various exterior perspective, side, and crosssectional views of the medication mixing and delivery device as embodiedin FIGS. 10A-D illustrating an actuated state;

FIGS. 16A-C illustrate various side, cross sectional, and partiallytransparent views of the medication mixing and delivery device asembodied in FIGS. 10A-D illustrating a mixed state;

FIGS. 17A-B illustrate side and cross sectional views of the medicationmixing and delivery device as embodied in FIGS. 10A-D illustrating aninjection ready state;

FIGS. 18A-D illustrate various perspective views of a second actuationmechanism of the medication mixing and delivery device as embodied inFIGS. 10A-D illustrating changing from the mixed state to an injectedstate;

FIGS. 19A-B illustrate side and cross sectional views of the medicationmixing and delivery device as embodied in FIGS. 10A-D illustrating aninjection complete state;

FIGS. 20A-D illustrate various perspective, side and cross sectionalviews of the medication mixing and delivery device as embodied in FIGS.10A-D illustrating a needle shield lockout mechanism;

FIGS. 21A-B illustrate a perspective and cross sectional view,respectively, of yet another alternative embodiment of a medicationmixing and delivery device in a stowed state;

FIGS. 22A-E illustrate various cross sectional views of the medicationmixing and delivery device of FIGS. 21A-B through various actuationsteps;

FIGS. 23A-D illustrate various cross sectional detailed views of amixing assembly for use with the medication mixing and delivery deviceof FIGS. 21A-B through various actuation steps;

FIG. 24 illustrates a perspective exploded view of a mixing assembly foruse with the medication mixing and delivery device of FIGS. 21A-Bthrough various actuation steps;

FIGS. 25A-D illustrate various cross sectional views of yet anotheralternative embodiment of a medication mixing and delivery device invarious actuated states;

FIGS. 26A-B illustrate principles of a rotary valve adaptable for use inany of the embodiments discussed herein;

FIGS. 27A-D illustrate principles of a sliding valve adaptable for usein any of the embodiments discussed herein;

FIGS. 28A-C illustrate various cross sectional views of yet anotheralternative embodiment of a medication mixing and delivery device invarious actuated states which utilize chambers which are independentlymovable within a housing;

FIG. 29 illustrates an exemplary fluidic channel arrangement adaptablefor use in any of the embodiments discussed herein;

FIG. 30 illustrates an exemplary fluidic channel and removable ferrulearrangement adaptable for use in any of the embodiments discussedherein;

FIGS. 31A-B illustrate various features and embodiments of fluidicchannel arrangements adaptable for use in any of the embodimentsdiscussed herein;

FIGS. 32A-C illustrate various additional features of yet anotheralternative embodiments of a fluidic channel arrangement adaptable foruse in any of the embodiments discussed herein;

FIGS. 33A-B illustrates various additional features of yet anotheralternative embodiment of a fluidic channel arrangement adaptable foruse in various embodiments discussed herein; and

FIGS. 34A-B illustrate extended and retracted states of a delivery orinjection assembly adaptable for use in any of the aforementionedembodiments.

DETAILED DESCRIPTION OF THE INVENTION

It will be appreciated by those having skill in the area of fabricationand storage of drugs, that the lifespan and effectiveness of the drugcan be increased substantially by keeping the medication in a dry state.Storage in a dry state also decreases the rate of degeneration as wellas the degenerative effects of temperature, for example heat exposure.By keeping the drug in a dry state the breadth of environments where thedevice can be stored is increased while decreasing the frequency ofrequired replacement.

The present invention illustrates various principles and devices whichallow for the storage of a device having two or more componentscontained therein but which can quickly and reliably reconstitute,dissolve, fluidize, and/or put into a suspension, the components, i.e.mix them, immediately prior to delivery.

As such a system and method for storing and/or mixing a dry medicamentcomponent with a wet component for delivery to a user is contemplatedherein. The system can include an auto-injector having various chamberstherein, wherein the components of the drug are stored separately withinthe various chambers in various states so as to increase longevity, i.e.a dry drug component in one chamber, and a liquid, such as a solvent, inanother. When the auto-injector is needed, the system can be actuated soas to mix the components, thus reconstituting, dissolving, fluidizing,and/or suspending a deliverable mixed drug, wherein the mixed drug canthen be properly delivered to a patient. Examples of delivery caninclude, but are not limited to nebulization for inhalation, injectionthrough a needle or cannula, topical application, etc.

With reference to FIGS. 1-9, shown is an exemplary embodiment of anauto-injector 10 in accordance with a first embodiment. Theauto-injector 10 illustrates various aspects of the present invention,each of which will be discussed in more detail below.

Referring to FIGS. 1A-C illustrate perspective views of an auto-injectorwhich illustrates various aspects of the present invention. Thisembodiment illustrates an auto-injector 10 which has a housing 100 and acap 14. The cap 14 can be in mechanical communication with a firstactuation mechanism contained within the housing 100. By applying anaxial torsional force between the cap 14 and the exterior housing, theactuator can cause certain components contained within the housing toinitiate certain steps in the mixing process, for example open a valvebetween the various chambers, and move fluid contained in one chamberinto the chamber containing the dry component of the medicament, whichsteps will be discussed in more detail below.

In certain embodiments, the cap 14 can be configured such thatseparation of the cap 14 from the housing 100 can be delayed until thedevice has moved completely from a stowed state to a completely mixedstate. In this manner it can be ensured that the needle end of theauto-injector 10 is not exposed until the device is completely ready fordelivery. Such mechanisms can include a threaded interface between thecap 14 and the housing 100, or the components can be keyed such thatseparation is not possible until a certain degree of rotation has beenachieved, etc. Once the cap is removed, the injection end of the housingcan then be exposed and a second actuation device triggered so as toinject or otherwise deliver the mixed medicament to a delivery orinjection site, for example by depressing the housing up against thedelivery site.

In other embodiments, the delivery of the mixed medicament to theinjection site can be configured in such a way that the second actuationstep cannot be activated until the device has moved completely from astowed state to a completely mixed state. In this manner it can beensured that the needle end of the auto-injector 10, while exposed afterremoval of cap 14, cannot be activated until the device is ready. Suchembodiments are enabled by features internal to the device, which willbe described below. Once mixing is complete, a second actuation devicecan be triggered so as to inject or otherwise deliver the mixedmedicament to a delivery or injection site, for example by depressingthe housing up against the delivery site.

FIGS. 2A-B illustrate an exploded view of an auto-injector 10 inaccordance with one embodiment of the present invention. This explodedview illustrates the various internal components within the housing 100and the cap 14. The housing can include a pre-loaded energy source 122which is shown here as a spring, or which can be embodied as acompressed air chamber, which is not shown but could be adapted by thosehaving skill in the art. The spring can be configured to provide adriving force and counter force between an inner plunger shaft 212, andtransferred to various components of a mixing assembly 200 throughvarious stages, as will be discussed below. The mixing assembly 200 canbe contained within a frame 110 wherein individual components of themixing assembly 200 can be configured to selectively rotate within thehousing 100.

The mixing assembly 200 can be retained within the frame using a framecap 114 which can be formed separately or unitarily with the frame 110.The frame cap 114 prevents the mixing assembly 200 from pushing throughthe frame 110 and exiting the housing 100 completely upon injection.

A needle shield 150 and needle shield spring 154 can be provide betweenthe frame 110 and the housing 100 at an injection end of the housing100. The needle shield spring 154 can be configured to bias the needleshield 150 axially downward so as to continuously restrict inappropriateexposure of the needle 310 prior to, during, and after injection.

The frame 110 and portions of the mixing assembly 200 can be configuredto rotate together within the housing when an axially torsional force isapplied between the cap 14 and the housing 100. The cap 14 can thus becoupled in a radially fixed manner to the frame 110 which is in turncoupled to certain components of the mixing assembly 200, and a driverinterface 118 can also be provided which is rigidly coupled to thehousing 100 as well as coupled in a radially fixed manner to alternativeportions of the mixing assembly 200 such as to the inner plunger shaft212. In this manner the axially torsional force and counter forceapplied between the cap and the housing can be transferred into andcaused to actuate certain components of the mixing assembly 200.

The mixing assembly can include an inner plunger shaft 212 and an innerplunger 214 which together form a first displacement mechanism. Thefirst displacement mechanism can be configured to reduce the effectivevolume of the first chamber, which will initially contain the wetsolvent or other liquid component of the medicament.

The plunger is configured to interface with an inner vial 210 whichforms the first chamber. The inner vial can be housed within a vialsleeve 220, or alternatively the vial sleeve 220 and the inner vial 210can be formed unitarily of a single material.

The vial sleeve 220 can then interface with a rotational valve seal 230which sits within an intermediate support 240. The intermediate support240 can have a second displacement mechanism 250, i.e. a second plunger,which is coupled thereto, the second plunger being configured to reducethe effective volume of a second chamber located within a second vial270.

The second vial 270 can then be provided with a delivery assembly 300affixed thereto which can include a needle 310 or cannula as well as aneedle guard 314 or other barrier configured to maintain sterility ofthe delivery assembly prior to use.

FIGS. 3A-D and 4A-D illustrate cross sectional views of theauto-injector 10 and the mixing assembly 200 through various stages ofmixing and delivery from a stowed state to a delivered state.

FIGS. 3A and 4A specifically illustrate a stowed configuration of theauto-injector 10 and the mixing assembly 200 contained therein. In thisstate the inner plunger shaft 212 is configured to rest on an upper edgeof the inner frame 110 wherein the upper edge of the frame 110 isconfigured to prevent the pre-loaded energy source from releasing theenergy stored therein and causing the plunger shaft 212 to depress andforce the inner plunger 214 to move downward and reduce the effectivevolume of the interior of the inner vial, i.e. first chamber. luidcommunication between the first chamber and the second chamber, which iscontained within the second vial 270, has not yet been establishedbecause an outlet of the inner or first vial (not shown here) is notaligned with the fluidic channel 254.

Dry medication can be kept in a recess 258 formed about an inlet of thesecond chamber within the second vial 270, such that fluid passingthrough the fluidic channel passes through or at least in closeproximity to the dry medicament stored therein. It will be appreciatedthat the dry medication can also be stored in the fluidic channelconnecting the first and second chambers, or merely kept in any portionof the second chamber wherein a specific recess is not provided.

In this stowed state the second chamber has its effective volumeinitially reduced to near zero by the second displacement device orplunger 250 so as to further decrease the space occupied by theauto-injector device 10, which decreased space occupation aides inallowing the device to be incrementally smaller, and thus easier tocarry.

In this state the needle 310 and assembly, or other deliver mechanism,is retracted so as to prevent premature injection. The needle 310 isalso still within the needle guard 314 so as to preserve sterility untilthe auto-injector is ready for injection.

It will be appreciated that the cap is not shown in these views forpurposes of simplicity, however, the cap can, and will usually be, onfor the stowed state.

FIGS. 3B and 4B illustrate a second intermediate state wherein therotary valve is open and fluid communication is established between thefirst and second chambers just prior to depressing the plunger shaft 212and the plunger 214. In this state a rotational force has been appliedbetween the outer housing 100 which retains the driver interface 118plunger shaft 212, vial sleeve 220, inner vial 210 and the valve seal230 stationary with respect to the housing, then the counter force whichis applied to the cap 14 can then be applied so as to twist the frame110, and the intermediate support 240 which carries the fluidic channel.This opposing respective rotation between the plunger shaft 212, innervial 210, and the rotational valve seal 230 causes two things to occursimultaneously: First, an outlet of the inner vial is caused to alignwith an inlet to the fluidic channel thus establishing fluidiccommunication between the inner vial 210 and the second chamber 270;second, a set of protrusions of the plunger shaft are brought into anaxially aligned channel provided in the frame 110 which allows theplunger shaft to be partially driven downward and cause displacement ofthe fluid contained in the inner vial through the fluidic channel andinto the second vial or chamber 270.

In this embodiment, the respective rotation causes the outlet 224 of thefirst chamber or inner vial 210 which outlet is formed in the rotationalvalve seal 230 rotate about a central axis until it is aligned with theinlet fluidic channel 254. In some embodiments the rotational valve seal230 can be configured to form the bottom wall of the inner vial 210, orthe inner vial 210 and rotational valve seal 230 can be formedseparately and distinctly.

As seen in FIG. 2, the rotational valve seal 230 of this embodiment iskeyed having protrusions and channels or apertures corresponding toprotrusions and apertures in the vial sleeve such that it remainsstationary with respect to the vial sleeve and does not rotate as thecap and intermediate support 240 are rotated so as to allow selectivealignment and misalignment between the outlet 224 and the fluidicchannel 254. Alternatively, in embodiments being devoid a specificfluidic channel, alignment between the outlet 224 and an inlet of thesecond chamber so as to selectively allow or prohibit fluidcommunication therebetween.

In this state the second chamber still has its effective volume nearzero by the second displacement device or plunger 250. Additionally, inthis state the needle 310 or other deliver mechanism and assembly isstill retracted so as to prevent premature injection as mixing has notyet occurred. The needle 310 is also still within the needle guard 314so as to preserve sterility until the auto-injector is ready forinjection and the needle shield 150 is still extended to preventpremature injection.

FIGS. 3C and 4C illustrate a mixed state wherein the intermediatesupport 240 and frame 110 have been rotated with respect to the mixingassembly 200 such that plunger protrusions 216 of the plunger shaft 212have been aligned with an axially aligned channel of the of the vialsleeve 220 as well as through a channel in a sidewall of theintermediate support 240.

The axial alignment between the plunger shaft protrusions allows axialtranslation of the plunger shaft 212 into the inner vial 210. Once thisalignment has been achieved, the plunger shaft 212 is allowed totranslate axially downward thus depressing the inner plunger 214 intothe inner vial 210 which acts to displace the fluid contained thereinthrough the outlet 224 through the fluidic channel 254 and into thesecond chamber contained within the second vial 270. The second vial 270is permitted to expand its effective volume by being free to translatedownward slightly within the frame and housing. As the second chamberexpands to receive the fluid being displaced from the first chamber, thefluid passes through or into the recess 258, which contains the drymedicament, the fluid dissolves the dry component and mixes with thefluid as it enters the second chamber. In another embodiment, the fluidpasses into the second chamber 270, without a recess 258, and with thepowder being located elsewhere in the second chamber 270. The expandingvolume of the second chamber still allows for sufficient mixing with thedry medicament to achieve appropriate mixing.

In the embodiment shown the intermediate support 240 includes similarprotrusions resting on an intermediate stop of the frame, and theplunger protrusions of the plunger shaft come to rest on the bottom ofthe intermediate support channel which indicates full depression of thefirst plunger into the inner vial, which also signifies that mixing iscomplete and that the device is ready for the injection step.

In this state the needle 310 or other deliver mechanism and assembly isstill retracted so as to prevent premature injection as mixing has notyet occurred. The needle 310 is also still within the needle guard 314so as to preserve sterility until the auto-injector is ready forinjection and the needle shield 150 is still extended to preventpremature injection. However, the needle shield 150, which forms part ofa second trigger, is ready to be depressed and thus trigger injection.The functionality of the needle shield 150 will be discussed in greaterdetail below.

FIGS. 3D and 4D illustrate an injected state wherein the mixing assembly200 has been rotated another small increment within the housing 100 ofthe auto-injector 10 such that that protrusions of the plunger shaft 212as well as additional protrusions, lower intermediate supportprotrusions 244 as seen in FIGS. 8A-E which will be discussed in moredetail below, which are provided on the intermediate support 240 havebeen rotated around sufficiently so as to align with a second axiallyaligned channel, 138 as seen in FIGS. 7B-D, of the frame 110.

Once this alignment has been achieved, a second portion of energy storedwithin the pre-stored energy source which causes the entire mixingassembly to be pushed downward such that the needle guard 314 comes intocontact with the frame cap 114 to stop the needle guard 314 such thatthe needle 310 punctures needle guard 314 and is extended through theneedle guard 314. The needle 310 then extends further past the needleshield 150, and the needle 310 is thus extended into or about a deliverysite, further as the second vial or chamber 270 hits the bottom portionof the frame cap 114, the second plunger 250 is depressed into thesecond vial or chamber 270 reducing its effective volume and causes thefluid to be ejected through the delivery assembly and into the patientor onto the delivery site.

FIGS. 5A-E illustrate perspective views of the mixing assembly 200within the frame 110 which illustrate various stages of actuationthrough the mixing and injection process.

In particular, FIG. 5A illustrates the relative position of the mixingassembly 200 with respect to the frame 110 in a stowed state. In thisstate the plunger shaft 212 is provided with a plurality of plungerprotrusions 216 which extend radially outward and rest on an upper lipof the intermediate support 240. It will be appreciated that the vialsleeve 220 is also provided with a channel through which the plungerprotrusions 216 extend and allow for axial translation in later steps ofactuation. In this manner the plunger shaft is maintained in anon-depressed or stowed state wherein rotation of the plungerprotrusions 216 into the middle support channel 248 must be effectuatedbefore the plunger shaft 212 can translate axially and depress into thevial (not shown) contained within the vial sleeve 220.

FIGS. 5B-D illustrate the travel of the rotated state of the plungershaft 212 with respect to the vial sleeve 220 and intermediate support240. The plunger protrusions 216 are aligned with the channel 248 andare thus ready for release of a portion of energy contained in thepre-loaded energy source to depress the plunger shaft 212 into the vialsleeve 220 and the vial contained therein (not shown) so as to displacethe fluid contained therein. In this embodiment, the rotation of theplunger shaft also causes rotation of the vial sleeve 220, whichrotation causes the outlet of the first chamber to align with the inletof the fluidic channel leading to the second chamber. In this manner thealignment and thus opening of the fluidic channel occurs simultaneouslywith the alignment of the protrusions 216 with the intermediate supportchannel and allows the pre-loaded energy source to depress the plungershaft 212.

FIG. 5C illustrates an intermediate partially depressed state and FIG.5D illustrates a mixed configuration wherein the plunger shaft andplunger have been fully depressed into the first chamber displacing allof the liquid into the second chamber.

FIG. 5E illustrates a fully mixed state wherein the auto-injector isfully ready for injection. The area A as illustrated in FIG. 5E will bediscussed in further detail wherein the mixing assembly 200, whichincludes the intermediate support 240 together with the vial sleeve 220and plunger shaft 212 all need to rotate a small distance into the frame110 so as to initiate the injection step.

FIGS. 6A-E illustrate various perspective detailed and cross sectionalviews of the area A as defined in FIG. 5E. As discussed above the frameis provided with a plurality of channels. The first frame channel 130and the intermediate stop 134 have a pair of upper support protrusions242 of the intermediate support supported therein. After the mixingstage is complete the protrusions 216 of the plunger shaft 212 areresting on the intermediate support 240 on top of the upper supportprotrusions 242.

In order to translate axially downward to eject the fluid through thedelivery assembly the intermediate support 240, vial sleeve 230 and theinner plunger must rotate together so as to be aligned with a secondframe channel so as to allow for a second portion of energy to bereleased from the pre-loaded energy source thus driving the mixingassembly downward, with the delivery assembly affixed to the bottom endthus effectuation injection or delivery. To move from the mixed stateand begin injection the upper support protrusions 242 along with theplunger shaft protrusions 216 are rotated radially into a second framechannel 138 as seen best between the positions illustrated in FIG. 6D toFIG. 6E.

In particular, FIGS. 6A-B illustrate perspective exterior and crosssectional views of the interface shown by area A of FIG. 5E wherein theauto injector and mixing assembly is in a mixed state with the plungerprotrusions 216 being depressed against the intermediate support 240 andassociated upper support protrusions 242. All of which rests on theintermediate stop 134 within the first frame channel 130.

FIGS. 6C-D illustrate perspective exterior views of the interface shownby area A of FIG. 5E wherein the auto injector and mixing assembly is ina mixed state but more importantly illustrating an intermediate rotationof the plunger and upper support protrusions 216 and 242 respectivelywith respect to the frame 110 into an aligned configuration with thesecond frame channel 138 just prior to injection.

FIG. 6E illustrates the mixing assembly 200 as it is being furtherdepressed into the frame 110 wherein the plunger shaft 212 andprotrusions 216 along with the intermediate support 240 are depresseddownward thus driving the delivery assembly (not shown) downward toinject the needle, until the second vial engages the lower end of theframe, stops, and the intermediate support (not shown) then drives thesecond plunger (not shown) into the second vial displacing the mixeddrug out of the delivery assembly and into the delivery site. It is thisreason, as described above, that the second actuation, which results inthe translation of the mixing assembly downward, can not occur untilmixing is complete. The plunger protrusions 216 can not rotate with theupper support protrusions 242 until they are able to rotate together,clear the frame and access the second frame channel 138. If the userattempts to actuate the second actuation mechanism prior to plungerprotrusions 216 coming into contact with upper support protrusions 242,the mixing assembly will get stopped from entering the second framechannel 138 by the frame 110. This mechanism is helpful in preventingthe second actuation step from occurring until all of the fluid from thefirst chamber has been transferred into the second chamber.

FIGS. 7A-D illustrate various perspective exterior and cross sectionalviews of the frame 110. These views illustrate the interior fist framechannel 130 and second frame channel 138 with more clarity. These viewsalso illustrate the intermediate stop 134 upon which the upper supportprotrusions of the intermediate support rests (not shown). In someembodiments the second frame channel 138 can have a tapered channel wheneffectively increases the width of the second frame channel 138 as thevarious protrusions travel downward within the second frame channel 138.This tapering ensures that the various protrusions do not bind up duringthe injections step, and allow the protrusions to travel freely downwarduntil the second vial hits the stops, signaling full needle extensionand driving of the second plunger into the vial thus fully ejecting themixed fluid and medication compound.

FIGS. 7A-D also illustrate a safety mechanism in the form of caprotation locks 112 which interface with an upper portion of the plungershaft as well as the driver interface such that once the cap is rotateda certain degree, a corresponding protrusion enters into and meshes withthe teeth of the cap rotation lock 112 of the frame and prevents the capfrom being twisted back. In this manner, if the cap is inadvertentlytwisted, and a risk of premature mixing is presented by such rotation, auser cannot simply twist the cap back and place the auto-injector backinto storage believing that no mixing has occurred. It will beappreciated that, once mixed, even partially, the dry drug willtypically begin to degrade at an increased rate. The purpose of the lockis to prevent accidental mixing, or at least signal to the user that thedrugs inside might have been previously mixed, wherein instructions onwhether or not to use in the case of premature mixing can be provided.

FIGS. 8A-E illustrate how the needle shield 150 can be configured in oneembodiment to act as a bump switch and trigger the injection step byproviding the slight rotation of the protrusions 216 and 242 off of theintermediate stop (not shown here) and into the second frame channeldiscussed above, (not shown). It will be appreciated that this view ofthe mixing assembly 200 and needle shield 150 are shown herein withoutthe frame so as to better illustrate the interaction of the needleshield 150 with the mixing assembly 200. However, it will be appreciatedthat the slight rotation shown here provides the rotation as illustratedin FIGS. 6C-E.

In the embodiment shown in FIGS. 8A-E an upward force is applied to theneedle shield 150 by depressing the injection end of the auto-injectoragainst the delivery site. In response to this depression force, theneedle shield 150 translates upward within the housing and frame suchthat a lower support protrusion 244 is released from a needle shieldhook 158. The needle shield hook prevents premature rotation of theintermediate support off of the intermediate stop during the changing ofstates from the stowed state to the mixed state by rotation of the vialsleeve and inner plunger as discussed above, preventing the intermediatesupport from rotating with those components during mixing and thuspreventing premature injection. Additionally, the shield hook can beconfigured so as to transfer the axially rotational force to be appliedto the cap, through the frame, and into the intermediate support, whichallows for relative rotation between the rotational valve seal, asdiscussed above, and the fluidic channel disposed within theintermediate support so as to allow initial opening of the rotary valve.

As the needle shield 150 translates upward, the lower supportprotrusions 244 of the intermediate support interface with a needleshield cam ramp 162. As the needle shield 150 continues to travel upwardrelative to the intermediate support, the lower support protrusions 244slide on the needle shield cam ramps 162 and a rotation of the entiremixing assembly 200 is induced as shown in FIG. 8C. In this embodimentthe width of the needle shield cam ramps 162 corresponds with a radialdistance required to move the upper support protrusions 242 and theplunger protrusions 216 off of the intermediate stop and into the secondframe channel which corresponds to the released configuration asillustrated in FIG. 8D. Whereupon, as shown by FIG. 8E the entire mixingassembly 200 can travel downward by force applied from the pre-storedenergy source and result in injection or other delivery.

FIGS. 9A-B illustrate an extension and locking function of the needleshield 150. It will be understood that it is of general interest toreduce the potential for inadvertent contamination or sticks of otherpeople prior to injection, during injection, and after injection. Assuch the needle shield 150 of the present embodiment serves both as abump switch as well as a protective barrier between the user, and otherpeople from inadvertent sticks, jabs, or cuts from an exposed needle. Assuch, after the bump switch is activated, the needle shield hook, asdiscussed above, is released and a needle shield spring 154, as shown inFIG. 2, or other biasing mechanism, is released so as to push the needleshield outward, or axially downward after activation. The deliveryassembly and needle are not ejected until the bump switch is firstactivated, then after injection, as the user pulls the auto-injectoraway from the delivery site, the needle shield is simultaneouslyextended until it clears past the tip of the needle, essentiallyeliminating the risk of secondary pricks and cross contamination ofbodily fluids to other people post injection.

In the embodiment shown the frame cap 114 can be provided with aplurality of protrusions, both lock protrusions 116 for interfacing withone or more needle shield guide channels 166 and needle shield extensionlock tabs 170 which interface with the interior of the frame or housing.The guide channels can have space for allowing initial depressionwhereupon the extension lock protrusions can slide up and theninterferingly engage with the lock tabs in a fully extended state afterinjection. The tabs can prevent pulling the needle shield 150 completelyfree from the housing as well as prevent a secondary depression of theneedle shield 150 which would expose the extended needle.

With reference to FIGS. 10-20, shown is an alternative exemplaryembodiment of an auto-injector 400 in accordance with a secondembodiment. The auto-injector 20 illustrates additional aspects of thepresent invention, each of which will be discussed in more detail below.

Referring to FIGS. 10A-C illustrate perspective views of anauto-injector 400 which illustrates various aspects of the presentinvention. This embodiment illustrates an auto-injector 400 which has anexterior housing 402 and a cap 414. The cap 414 can be in mechanicalcommunication with a first actuation mechanism contained within theexterior housing 402. Similar to the embodiment discussed previously, byapplying an axial torsional force between the cap 414 and the exteriorhousing 402, the actuator can cause certain components contained withinthe housing to initiate certain steps in the mixing process, for exampleopen a valve between the various chambers, and move fluid contained inone chamber into the chamber containing the dry component of themedicament, which steps will be discussed in more detail below. Therelative motion of the various components can be provided through theuse of various protrusions which engage with or otherwise interact withcams or channels within the housing.

In certain embodiments, the cap 414 can be configured such thatseparation of the cap 14 from the housing 402 can be delayed until thedevice has moved completely from a stowed state to a completely mixedstate. In other embodiments the cap can act merely as a contaminantbarrier and actuation is effectuated after removing the cap. Theembodiment shown illustrates the first, wherein removal of the capeffectuates initiation of, and completion of, the mixing step. In thismanner it can be ensured that the needle end of the auto-injector 400 isnot exposed until the device is completely ready for delivery.

With regard to the cap 414 and in reference to FIGS. 11A-C, the Cap 414can include cam protrusions on an internal portion of the housing orframe which interact with associated cam ramps 416, wherein the camramps 416 allow for release through the keyway 417 after a certaindegree of rotation has been achieved. In alternative embodiments,threaded interfaces can be provided between the cap 414 and the housing400 wherein the axial relative translation of the cap and the housingcan effectuate an initiation of the mixing step is also contemplated.However, in each of these embodiments once the cap is removed, theinjection end of the housing can then be exposed and a second actuationdevice triggered so as to inject or otherwise deliver the mixedmedicament to a delivery or injection site, for example by depressingthe housing up against the delivery site, which acts as a bump switchwhich in turn initiates injection.

The cap 414 can also include a pair of retaining clips 418 which caninterface with a pair of indents on the frame of housing so as toprevent premature rotation of the cap and associated activation of theauto injector.

FIGS. 12A-E illustrate various exploded views of various internalassemblies within the auto-injector 400 in accordance with oneembodiment of the present invention. These exploded views illustrate thevarious internal components within the housing 402 and the cap 14. Thehousing 402 can include a pre-loaded energy source 522 which is shownhere as a spring, or which can be embodied as a compressed air chamber,which is not shown but could be adapted by those having skill in theart. The spring can be configured to provide a driving force and counterforce between an inner plunger shaft 612, the driving force beingtransferred to various components of a mixing assembly 600 throughvarious stages, as will be discussed below. The mixing assembly 600 canbe contained within a frame 510 which is can be configured to rotatewithin the housing 402.

A needle shield 550 and needle shield spring 554 can be provide betweenthe frame 510 and the housing 402 at an injection end of the housing.The needle shield spring 554 can be configured to bias the needle shieldaxially downward so as to continuously restrict open and inappropriateexposure of the needle prior to, during, and after injection.

The frame 510 and portions of the mixing assembly 600 can be configuredto rotate together within the housing when an axially torsional force isapplied between the cap 414 and the housing 402. The cap 414 can thus becoupled in a radially fixed manner to the frame 510 which is in turncoupled to certain components of the mixing assembly 600. In this mannerthe axially torsional force applied between the cap 414 and the housing510 can be transferred into and caused to actuate certain components ofthe mixing assembly 600 using actuation means which will be discussed inmore detail below.

The mixing assembly 600 can include an inner plunger shaft 612 and aninner plunger 614 which together form a first displacement mechanismwhich can be configured to reduce the effective volume of the firstchamber, which will initially contain the wet solvent or component ofthe end injectable medicament.

The plunger 614 is configured to interface with an inner vial 610 whichforms the first chamber. The inner vial can be housed within a vialsleeve 620, or alternatively, the vial sleeve 620 and the inner vial 610can be formed unitarily of a single material.

The intermediate support 640 can have a second displacement mechanism650, i.e. a second plunger, which is coupled thereto, the second plungerbeing configured to reduce the effective volume of a second chamberlocated within a second vial 670.

The second vial 670 can have a delivery assembly 700 affixed theretowhich can include a needle 710 or cannula as well as a needle guard 714or other barrier configured to maintain sterility of the deliveryassembly prior to use. The needle 710 can be affixed to the second vial670 using a bonding interface 716, which can be provided as a crimp,adhesive, curing epoxy, or any other number of suitable interfaces.

FIGS. 13A-D illustrate various perspective, side and cross sectionalviews of the auto-injector 400, with the cap removed, wherein the mixingassembly is maintained in a stowed state prior to initiation.

FIGS. 14A-C illustrate various perspective, side and cross sectionalviews of a various states of assembly of the auto-injector 400, with thecap or housing removed which illustrates actuation of the first mixingstep, wherein rotational motion of the upper portion of the mixingassembly is illustrated prior to the valve being open and energy fromthe pre-loaded energy source is released. In this state the innerplunger shaft 612 is resting on an upper edge of the inner frame 510wherein the upper edge of the frame 510 is preventing the pre-loadedenergy source from releasing the energy stored therein and causing theplunger shaft from depressing and forcing the inner plunger from movingdownward and reducing the effective volume of the interior of the innervial, i.e. first chamber. Fluid communication between the first chamberand the second chamber within the second vial 670 has not yet beenestablished because an outlet (not shown here) is not aligned with thefluidic channel (not shown).

Dry medication can be kept within the fluidic channel between the twochambers, or alternatively the dry medication can be stored within thesecond chamber within the second vial 470.

In this state the needle 710 or other deliver mechanism and assembly isretracted so as to prevent premature injection. The needle 710 is alsostill within the needle guard 714 so as to preserve sterility until theauto-injector is ready for injection.

It will be appreciated that the cap is not shown in these views forpurposes of simplicity, however, the cap can and will usually be on forthe stowed state.

FIGS. 15A-C specifically illustrate a mixing initiated step wherein afluidic pathway has been established between the first and secondchambers just prior to release of energy from the pre-loaded energysource to drive the fluid from the first chamber into the secondchamber. In this state the rotary valve is open and fluid communicationis established between the first and second chambers just prior todepressing the plunger shaft 612 and the plunger, 614 in FIG. 12C. Inthis state a rotational force has been applied to the outer housing 402and the cap 414 wherein the force is applied to twist the plunger 614and plunger shaft 612 inner vial 610 vial sleeve 620 with respect to thehousing 100, the frame 510 and intermediate support 640.

This respective rotation causes an alignment of an outlet of the firstchamber 610 with a fluidic channel extending into the second chamber670.

In this state the needle 710 or other deliver mechanism and assembly isstill retracted so as to prevent premature injection as mixing has notyet occurred. The needle 710 is also still within the needle guard 714so as to preserve sterility until the auto-injector is ready forinjection and the needle shield 550 is still extended to preventpremature injection.

FIGS. 16A-C and 17A-B illustrate a mixed state wherein the mixingassembly 600 has been rotated sufficiently within the housing such thatprotrusions, 616 from FIGS. 14A and 15A, of the plunger shaft 612 havebeen rotated around sufficiently so as to align with an axially alignedchannel of the of the vial sleeve 620 as well as through theintermediate support 640, and has translated axially so as to rest on anintermediate stop of the frame. This axial alignment allows axialtranslation of the plunger shaft 612 into the inner vial 610, which actsto displace the fluid contained therein through the outlet, through thefluidic channel, and into the second chamber contained within the secondvial 670 to mix with the dry medicament in the fluidic path.

In this state the needle 710 or other deliver mechanism and assembly isstill retracted so as to prevent premature injection as mixing has notyet occurred. The needle 710 is also still within the needle guard 714so as to preserve sterility until the auto-injector is ready forinjection and the needle shield 550 is still extended to preventpremature injection.

However, the needle shield 550, which forms part of a second trigger, isready to be depressed and thus trigger injection. The functionality ofthe needle shield 550 will be discussed in greater detail below.

FIGS. 18A-D illustrate various perspective views of a second actuationmechanism of the medication mixing and delivery device as embodied inFIGS. 10A-D illustrating changing from the mixed state to an injectedstate. This actuator functions similarly to the embodiment discussedabove wherein the intermediate support 640 is provided with a protrusion644 which is rotated incrementally by depressing the needle shield 550.The incremental rotation of the intermediate support 640 causes theplunger protrusions, not shown here, to rotate with the intermediatesupport 640 and align with a second channel of the housing or frame, andallow for injection to be initiated.

FIGS. 18A-D illustrate a bump switch which operates similarly infunction to the embodiments discussed above, however the protrusions ofthe intermediate support are located in a slightly differentconfiguration, as seen. In particular, the intermediate support does nothave an upper protrusion and instead has channels through which theprotrusions of the inner plunger can travel through and interface withthe intermediate stop, thus allowing the auto-injector to stop in amixed but non-injected state.

It will be understood that this embodiment also works using a rotationalstyle valve which utilizes selective alignment of an outlet 624 of thefirst chamber 610 with the inlet of the fluidic channel, wherein theselective alignment corresponds with an open configuration when alignedand a closed configuration when misaligned.

FIGS. 19A-B illustrate an injected state wherein the mixing assembly 600has been rotated another small increment within the housing 402 of theauto-injector 400 such that that protrusions of the plunger shaft 612have been rotated around sufficiently so as to align with a secondaxially aligned channel of the frame 510, the second channel is notshown herein, but is similar in arrangement to the embodiment previouslydiscussed in particular with reference to FIG. 7A-D. Once this alignmenthas been achieved, a second portion of energy stored within thepre-stored energy source which causes the entire mixing assembly to bepushed downward wherein the second vial 670 hits a bottom portion of theframe 510 and frame cap 414 wherein the needle 710 is extended throughthe needle guard 714 past the needle shield 550 and extended into orabout a delivery site, further as the second vial 670 hits the bottomportion of the frame 510 the second plunger 650 is depressed into thesecond vial 670 reducing its effective volume and causes the fluid to beejected through the delivery assembly and into the patient or onto thedelivery site.

In this state the needle 710 or other deliver mechanism and assembly areextended such that the needle 710 penetrates the needle guard 714 and isextended past the needle shield 750.

In order to translate axially downward to eject the fluid through thedelivery assembly the intermediate support 640, vial sleeve 630 and theinner plunger 612 must rotate together so as to be aligned with a secondframe channel so as to allow for a second portion of energy to bereleased from the pre-loaded energy source thus driving the mixingassembly downward, with the delivery assembly affixed to the bottom endthus effectuation injection or delivery. To move from the mixed stateand begin injection, and as discussed above with reference to FIGS.18A-D, the intermediate support can be provided with one or moreprotrusions 644, which can be caused to rotate similar to the previouslydiscussed embodiment using cam ramps associated with a bump switch,which the needle shield 550 forms part.

FIGS. 20A-D illustrate an extension and locking function of the needleshield 550. It will be understood that it is of general interest toreduce the potential for inadvertent contamination or sticks of otherpeople prior to injection, during injection, and after injection. Assuch the needle shield 550 of the present embodiment serves both as abump switch as well as a protective barrier between the user, and otherpeople from inadvertent sticks, jabs, or cuts from an exposed needle. Assuch, after the bump switch is activated, the needle shield hooks asdiscussed above are released and a needle shield spring 554 or otherbiasing mechanism which is configured to push the needle shield outward,or axially downward. The delivery assembly and needle are not ejecteduntil the bump switch is first activated, then after injection, as theuser pulls the auto-injector away from the delivery site, the needleshield is simultaneously extended until the needle clears past the tipof the needle, essentially eliminating the risk of secondary pricks andcross contamination of bodily fluids to other people post injection.

In the embodiment shown the housing 402 can be provided with a pluralityof protrusions 516 for interfacing with an upper locking edge 566 of theneedle shield. Once the needle shield 550 has been extended a certaindegree the protrusions 516 engage with the upper locking edge 566 andprevent subsequent depression of the needle shield. The needle shieldhook 558 which previously prevented the premature rotation of theintermediate support can now act as an extension prevention mechanismand can interface with the protrusion 644 of the intermediate support640 so as to prevent complete removal of the needle shield 550 and thusexpose the contaminated needle.

FIGS. 21-24 illustrate various aspects of yet another auto-injector 1010in accordance with yet another embodiment of the present invention. Theauto-injector 1010 can include a housing 1100 which houses a pluralityof chambers. The chambers can include a first wet chamber 1210 which caninitially contain a wet component for reconstituting, dissolving, and/orsuspending a dry medicament. The dry medicament can be contained withina second chamber 1270 or within a fluidic channel 1254 which connectsthe two chambers, or within a recess formed at an opening or outletthereof. The orientation of this embodiment includes an intermediatesupport 1240 which pushes a first plunger 1214 upwards into the firstchamber 1210.

It will be appreciated that, with respect to gasses, most fluids areconsidered incompressible. In order to facilitate upward motion of thefirst plunger 1214 and the fluid contained within the first chamber1210, a third plunger 1215 and a squeeze chamber 1004 can be providedwherein a compressible gas is provided within the squeeze chamber 1004or the gas contained therein is permitted to exit the squeeze chamber1004. The upward translation of the first plunger 1214 allows it totravel into a portion of the first chamber 1210 which is provided with afluidic bypass 1255 in the sidewall. In this bypass portion, the fluidicbypass 1255 allows the first chamber 1210 to be compressed and the fluidto travel around the first plunger 1214 through the fluidic bypass 1255and into and through a fluidic channel 1254 so as to enter into thesecond chamber 1270 so as to mix with the dry medicament provided withinthe fluidic channel 1254 or within the second chamber 1270. In theembodiment shown, the plunger 1214 can be provided with a radiallydisposed slot on its bottom surface so as to allow fluid to travel fromthe bypass channel 1255 which is located about the perimeter of thechamber, to the inlet of the fluidic channel 1254 which is located abouta central portion.

In this embodiment the intermediate support 1240 can support the secondplunger 1250 such that the upward translation of the first plunger 1214also causes the second chamber 1270 to push away from the second plunger1250 simultaneously as the first chamber 1210 is compressed so as toexpand and accordingly receive the fluid as it travels through thebypass 1255, through a channel formed in the bottom of the first plunger1214, through the fluidic channel 1254, and into the second chamber1270.

FIGS. 21B, 22A-E, and 23A-D illustrate the various stages of the autoinjector 1010 and the mixing assembly 1200 from a stowed through thevarious mixing stages and finally to an injected state.

FIG. 22A and FIG. 23A illustrate the auto-injector and mixingsubassembly in a stowed state wherein the fluid is in the first chamber1210, the first plunger 1214, intermediate support 1240 and the thirdplunger 1215 have not been translated upward.

FIG. 22B and FIG. 23B illustrate the auto-injector and mixingsubassembly in an intermediate state wherein the intermediate support1240 is beginning to move the first plunger 1214 and the third plunger1215 upward so as to move the first plunger 1214 into the fluidic bypassportion along the length of the bypass fluidic channel 1255 and whereinthe third plunger 1215 is beginning to compress the squeeze chamber1004. This position allows the fluid contained in the first chamber 1210to bypass around the first plunger 1214 through the bypass channel 1255and through 1214 into the fluidic channel 1254 and into the secondchamber 1270 which expands in effective volume as the intermediatesupport 1240 moves upwards.

FIGS. 22C-D and FIG. 23C illustrate the auto-injector and mixingsubassembly in a mixed state wherein the intermediate support 1240 isfully depressed upwards having moved the first plunger 1214 and thethird plunger 1215 completely upward so as to fully displace all of thefluid out of the first chamber 1210. In this position the fluid iscompletely contained in the second chamber 1270 and ready for injection.In this fully injected state the needle is extended through the housing1100 and into or about a delivery site.

FIG. 22E illustrates the auto-injector and mixing subassembly in a fullyinjected state wherein the entire mixing assembly is depressed downwardand into the second chamber thus displacing the mixed medication andfluid out through the delivery assembly, i.e. the needle.

FIG. 25A-D illustrates yet another embodiment of an auto-injector 1300which has a first chamber 1410 containing a fluid component therein anda second chamber 1470 containing a dry medicament component. Theauto-injector 1300 can have a movable body 1450 which has a fluidicchannel 1454 provided therethrough. In one embodiment the fluidicchannel can contain the dry medicament component. In another embodimentthe dry medicament component can be placed just upstream from thefluidic channel In order to displace the fluid within the first chamber1410 into the second chamber 1470.

In one embodiment an initial tensile force can be applied at two ends ofthe housing so as to be pulled or telescoped axially apart thus causinga first telescoping effect which causes the movable body 1450 to bedisplace upwards into the first chamber 1410 and force the fluid fromthe first chamber 1410, through the fluidic channel 1454 and into thesecond chamber 1470. This motion of the movable body upwards causes thesecond chamber 1470 to simultaneously expand so as to facilitate in thereceipt of the fluid being displaced and thus facilitate mixing of thefluid with a dry medicament stored either within the fluidic channel1454 or within the second chamber 1470. Once the fluid and the drymedicament are fully mixed the device can be pulled or telescopedaxially apart further, which telescoping causes a pin 1314 disposedwithin the housing 1310 to pull away from a lock mechanism 1304, whereina trigger device causes protrusions of the locking mechanism totranslate radially inward and release through a hole, whereintranslation was previously restricted by the pin 1314, wherein thetrigger also allows a pre-loaded energy source 1322, i.e. a spring to bereleased, and push the entire mixing assembly 1350 in an axial directiontoward the needle assembly. This trigger device can also be provided asa bump switch or needle guard depression switch similar to thosedisclosed with reference to the embodiments disclosed above. Once theneedle is extended from the housing a bottom portion of the secondchamber 1470 will engage the housing 1310 and cause the movable body1450 to displace the fluid in the second chamber 1470 out through theneedle 1490 and into the delivery site.

FIG. 24 illustrates a perspective exploded view of the embodiment of theauto-injector 1010 of FIGS. 21-23, which better illustrate the assemblyand how many of the individual components interact with one another. Ahousing 1100 can contain the mixing assembly 1200, wherein the mixingassembly 1200 can be retained within the frame 1100 by the needle guard1110 on an injection end and by a retention clip 1119 and pull trigger1118 on an opposing distal end. The mixing assembly 1200 can include upinner vial 1210 and an intermediate support 1240 wherein the extensionof the pull trigger 1118 causes the cam ring 1117 to rotate and allowthe mixing spring 1123 to discharge a torsional and axial force storedtherein so as to rotate the middle stopper 1117. Rotation of the camring 1117 is configured to cause the intermediate support 1240 totranslate upward into the inner vial 1210, open fluidic communication,and displace the fluid contained therein into the second vial 1270. Itwill be appreciated that cam ring 1117 and intermediate support 1240 canbe separate components for purposes of assembly, or alternatively theycan be unitarily formed. Then upon depressing the needle guard 1110 intothe housing 1100 the main spring 1122 is discharged and the entiremixing assembly 1200 is forced downward extending a needle (not shown)through the housing. The fluid, which is now contained in vial 1270, isthen displaced through the needle contained in sterility barrier 1114.It will be appreciated that sterility barrier 1114 can be configured tobe removed prior to use, or penetrated during injection just prior todelivery of the mixed fluid. Once injection is completed the needleguard spring 1154 can bias the needle guard 1110 outward into anextended and locked position so as to protect inadvertent sticks by thenow extended needle.

FIGS. 26A-B illustrate the principles of operation of a rotary valve 800for use in the embodiments discussed above. A rotary valve can be formedwherein a fluidic pathway is established by rotating one aperture withanother. In this exemplary illustration the aperture 804 can be providedin a bottom portion of a vial which forms a top interfacing portion 802forming a chamber and the secondary aperture 814 provided through abottom interfacing portion of the seal 810, which can be the inlet tothe remaining portion of a fluidic channel leading to another chamber.FIG. 26A illustrates a closed configuration wherein the two aperturesare misaligned and fluid communication does not exist. FIG. 26Billustrates an open configuration wherein the two apertures are alignedand fluid communication is established. It will be appreciated that inorder to form a better seal, one or both of the components can be formedof a material having elastic properties such as rubber or silicone. Inanother embodiment, one of the components is rubber and another is hardplastic. In another embodiment each of the sealing surfaces are made upof a combination of hard plastic and elastomeric materials in oneinterface.

FIGS. 27A-D illustrate an alternative valve mixing assembly 900 which iseffectuated by means of sliding two components axially with respect toone another so as to effectuate establishment of fluidic communication,rather than through rotation.

FIG. 27A illustrates a stowed state wherein fluid is contained in afirst vial 910 by a first plunger 940, wherein the first vial 910 has anoutlet 914 which is misaligned with the fluidic channel inlet 952 of thefluidic channel 950 in an axial direction, wherein the fluidic channel950 provides fluidic communication with the second vial 920. The fluidicchannel 950 is disposed in an intermediate body 930 which can double asa second plunger for the second vial. Mixing can be initiated throughvarious cams or axially forces applied to the mixing system which causea relative axial translation between the first vial 910 and theintermediate support 930 so as to align the outlet 914 with the fluidicchannel inlet 952. The intermediate support can then be caused totranslate axially with respect to the intermediate supportsimultaneously as the first plunger 940 is depressed into the first vial910 until all of the fluid has been received in the second chamber 920and completely displaced from the first chamber 910. Then both the firstplunger and the intermediate support can be simultaneously depressed soas to displace the fluid out of the needle 960 which simultaneousdepression can cause the needle to penetrate the needle guard 970. Itwill be appreciated that axial translation can be achieved bytranslating rotational motion using ramped cam systems and correspondingprotrusions, various spring mechanisms in different configurations allof which will be within the scope of the present invention and will alsobe within the understanding of one of ordinary skill in the art havingpossession of this disclosure.

For purposes of the sliding valve of FIGS. 27A-D it will be appreciatedthat various effectuation means can be effectuated by variousprotrusions such as on the vial sleeve which can translate withinchannels provided in adjacent components so as to effectuate the axialtranslation of the first chamber, and its associated outlet, with theinlet of the fluidic channel.

FIGS. 28A-C illustrate yet another mixing assembly 1500 adaptable foruse in one or more of the auto-injectors above. This alternative valvemixing assembly 1500 is effectuated by displacing a first chamber 1510with respect to an initially stationary plunger 1514, the outer surfaceof the first chamber 1510 can be provided with a seal and function as aplunger for a second chamber 1570. By displacing the first chamber 1510upward, a fluid contained therein can travel through an aperture orvalve 1518 so as to be displaced into the second chamber 1570, which cancontain the dry medicament therein, or the dry medicament can be storedin the fluidic channel, wherein the upward motion of the first chamberautomatically expands in response to the upward motion of the first vial1510. The second vial 1570 can be held stationary, or be provided withindependent protrusions which cause it to not be drawn upward at all, orat least not be drawn upward at the same rate as the first vial 1510 soas to facilitate proper expansion in response to the volume of fluidmoving from the first chamber into the second chamber. Once mixing iscomplete the plunger 1514 as well as the rest of the assembly can beforced downward so as to facilitate injection. For purposes ofillustration, a spring could be configured to act on the plunger aftermixing is complete and provide a compressive force of the mixingassembly 1500 between the spring and an outer housing in which themixing assembly resides so as to displace the fluid from the secondchamber and out of the needle 1590.which is effectuated by means ofsliding two components axially with respect to one another so as toeffectuate establishment of fluidic communication, rather than throughrotation.

FIGS. 29-30 illustrate various intermediate bodies 850 and 850A havingfluidic channels 852 disposed therein. The fluidic channel 852 can havean inlet 854 for receiving a fluid and allowing the fluid to passtherethrough. In some embodiments a secondary fluidic body 860 having asecondary fluidic channel 856 can be provided which receives the fluid,the secondary fluidic body can introduce additional flow features so asto affect flow therethrough. In the embodiment shown the secondary bodycan be provided with a plurality of turbulence features which induceturbulent flow and increase flow speed, pressure differential, and canincrease the effectiveness of mixing between the fluid and a drymedicament which can be stored therein. In another embodiment the drymedicament can be stored in 854.

FIG. 30 illustrates an alternative intermediate body 850A with a recessconfigured to receive a customizable ferrule 862. The ferrule can havean enlarged interior portion configured to receive an amount of drymedicament wherein a selection of ferrules can be provided havinggreater or smaller interior portions for adjusting the dosage ofmedicament for a particular end user. It will be appreciated that theintermediate bodies of these respective embodiments can be oriented inany fashion such that the inlets or outlets are switched or such thatthe ferrule is at either an inlet or outlet of its respectiveintermediate body.

FIG. 31A illustrates additional embodiments of secondary fluidic bodies860A and 860B which can introduce additional bends and passes to thevarious fluidic pathways 856A-B.

FIG. 31B illustrates a detailed perspective cross sectional view of afluidic channel 856 and respective turbulence inducing features 857.

FIGS. 32A-C illustrates a fluidic channel assembly 870 which can beadapted for use with any of the embodiments discussed above. The fluidicchannel assembly 870 can include a dosage ferrule 872, which in oneembodiment contains dry powder medicament, a channel sleeve 875 and afluidic channel 876. A fluidic channel insert 874 for use in the fluidicchannel assembly 870 can be formed by coupling two separate plates 878and 880 which are machined to form a gap when pressed together thusforming the fluidic channel 876. By forming the fluidic channel betweentwo separate plates, more complex internal features 882 can be formedprior to assembly. It will be appreciated that the two plates can bebonded in any suitable manner such as welding, adhesive, etc. Thechannel sleeve can then be provided so as to ensure a seal and reduceleakage. This fluidic channel insert 870 can be adapted for use with anyof the embodiments discussed above.

FIGS. 33A-B illustrate yet another embodiment of a proposed fluidicchannel assembly 630A. This fluidic channel assembly 630A can be formedof a seal component 632A which directs fluid received from an upperportion into a desired entry point on a fluidic channel component 634A.In one embodiment, a dry powder medicament can be stored in the pocketrecess in 632A. In another embodiment, a dry powder medicament can bestored in the fluidic channels 636 and 638. Various fluidic channeldesigns 636 and features 638 can be formed into an upper surface of thefluidic channel component 634A in virtually any suitable configurationthrough various machining means, laser, acid etching, injection molding,or embossing or any other suitable process so as to form a desiredchannel configuration 636 or features 638. The channels can ensureproper fluid dispersion, induce turbulence, or provide any other numberof desired flow characteristics of the fluid passing therethrough.

It will be further understood by those in possession of this disclosurethat the chambers and respective plungers can be movable with respect toone another. As such, in some cases, and as shown here, translating theplunger into the vial which forms the respective chamber can be onemethod of reducing the effective volume and displacing fluid containedtherein. In other embodiments the vials themselves cay be displacedonto, or with respect to, a stationary plunger so as to provide thedisplacement force. In yet other embodiments a combination of the twocan be utilized so as to provide the displacement effect.

FIGS. 34A-B illustrate an injection or delivery assembly 1600 adaptablefor use with any of the auto-injectors discussed above. FIG. 34Aillustrates an exemplary mixing assembly 1650, similar to any of themixing assemblies disclosed herein, the mixing assembly 1650 having anexpanded second chamber 1670 containing the mixed drug and liquidcomponent just prior to injection. A septum 1612 is provided between theinlet end of the needle 1610 and separates the interior channel orcannula of the needle from introducing contaminants therethrough intothe second chamber 1670 prior to injection. Additionally septumseparates the needle from the interior of the second chamber so as toprevent premature leaking and full mixing of the various componentsprior to actuation and injection.

It will be appreciated that the needle has both a distal or injectionend and a proximal end. The distal end can be configured to enter into apatient at an injection site and the proximal or inlet end beingconfigured to pierce and ultimately penetrate the septum. It will befurther appreciated that in FIG. 34A the needle 1610 has still not yetpenetrated the septum 1612.

As shown in FIG. 34A, the needle 1610 can be partially embedded into,but not fully penetrated through, the septum 1612 in a stowed statewherein the needle 1610 can penetrate the septum 1612 and open fluidcommunication out the injection end just prior to injection.

In order to provide penetration of the septum 1612 by the needle 1610,the needle can be carried by a translating needle carrier 1620. Theneedle carrier 1620 can have a translating body which is allowed totranslate axially along the needle axis with respect to the secondchamber 1670 and the septum 1612. The degree of translation can belimited or controlled by providing abutting shoulders which interferewith one another at certain points along the relative travel distancebetween the carrier and the second chamber. In one instance theshoulders can engage to prevent the needle from being released from thesystem and sliding out of the auto injector entirely, and in anotherinstance the shoulders can engage to provide the axial translation andpuncture force of the needle through the septum when pushed down justprior to injection. In the cross sectional view of FIGS. 34A the needlecarrier is extended to its maximum distance away from the secondchamber.

FIG. 34B illustrates the injection motion of pressing the auto injectorup to an injection site. The downward force drives the needle 1610downward with respect to the needle shield to expose the needle from theinterior of the auto injector body. A shoulder or stop can be providedon the interior of the needle shield which engages with the needlecarrier and pushes the proximal end of the needle through to fullypenetrate through the septum. At this point a fluid pathway isestablished and fluid communication is provided from the second chamberinto the patient's body or other injection site. At this point a secondplunger can be pushed into the second chamber thus forcing the mixeddrug into the injection site.

While the principles of the invention have been described herein, it isto be understood by those skilled in the art that this description ismade only by way of example and not as a limitation as to the scope ofthe invention. Other embodiments are contemplated within the scope ofthe present invention in addition to the exemplary embodiments shown anddescribed herein. Modifications and substitutions by one of ordinaryskill in the art are considered to be within the scope of the presentinvention.

What is claimed:
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 9. A medicationmixing and delivery device comprising: a housing; a first chamberlocated within the housing, the first chamber having an outlet; a secondchamber located within the housing, the second chamber having an inlet;a rotary valve located within the housing, the rotary valve beingselectively opened or closed by aligning or misaligning the outlet ofthe first chamber to cause or prevent fluid communication between theoutlet of the first chamber and the inlet of the second chamber; anactuation device having a pre-loaded energy source, the actuation devicealso being in mechanical communication with the rotary valve and isconfigured to allow the rotatory valve to alternate between a closed andopen state; a displacement mechanism configured to reduce the effectivevolume of the first chamber; a delivery assembly configured to be influid communication with the second chamber; wherein the actuationdevice is activated by means of an axial torsional force, which axialtorsional force causes the rotary valve to be placed into the open stateand wherein the axial torsional force causes a first portion of energystored within the pre-stored energy source to be released and cause thedisplacement mechanism to force a liquid stored in the first chamber topass through the outlet and inlet to be received by the second chamber,wherein a dry medicament is stored within the housing and outside thefirst chamber, and wherein the second chamber becomes rotationally fixedwith the first chamber upon releasing the first portion of storedenergy; and a second actuation device that is configured to release asecond portion of energy from the pre-loaded energy source, which uponrelease forces the liquid, which is now located in the second chamber,to be displaced out of the second chamber through the delivery assembly.10. (canceled)
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